The Carlyle At Stonebridge Park - Southlake Nursing Home
General Information
UPDATEFederal Provider Number
676249
Provider Name
THE CARLYLE AT STONEBRIDGE PARK
Provider Address
170 STONEBRIDGE LANE
SOUTHLAKE, TX 76092
SOUTHLAKE, TX 76092
Provider Phone Number
(817) 431-5778
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARLYLE HEALTH CARE CENTER LTD CO
Date First Approved to Provide Medicare and Medicaid services
2010-03-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.15000
Reported LPN Staffing Hours per Resident per Day
1.43939
Reported RN Staffing Hours per Resident per Day
2.51919
Reported Licensed Staffing Hours per Resident per Day
3.95859
Reported Total Nurse Staffing Hours per Resident per Day
6.10858
Reported Physical Therapist Staffing Hours per Resident Per Day
0.70707
Expected CNA Staffing Hours per Resident per Day
2.47106
Expected LPN Staffing Hours per Resident per Day
0.75726
Expected RN Staffing Hours per Resident per Day
1.53904
Expected Total Nurse Staffing Hours per Resident per Day
4.76736
Adjusted CNA Staffing Hours per Resident per Day
2.13489
Adjusted LPN Staffing Hours per Resident per Day
1.57764
Adjusted RN Staffing Hours per Resident per Day
1.22306
Adjusted Total Nurse Staffing Hours per Resident per Day
5.16493
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-02-21
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-02-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
11.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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